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Case Studies | Anaesthesiology | India | Volume 14 Issue 3, March 2025 | Rating: 4.8 / 10
Anesthetic Challenges in a Case of Oligodendroglioma for Tumor Excision
Dr. Harshitha V, Dr. Uthkala B Hegde
Abstract: Oligodendrogliomas are rare primary brain tumors, often presenting with seizures. Their anesthetic management poses challenges due to concerns regarding intracranial pressure (ICP), cerebral perfusion, and seizure control. A 54 - year - old female with a history of oligodendroglioma presented with recurrent seizures. MRI confirmed a right frontal lobe grade 2 oligodendroglioma. Despite antiepileptic therapy, she continued to have refractory seizures. Surgical excision was planned under general anesthesia. Dexmedetomidine infusion was initiated preoperatively to control ICP. Anesthesia was induced with thiopentone sodium, and intraoperative management focused on maintaining hemodynamic stability and optimizing cerebral perfusion. The procedure was uneventful, and the patient had a smooth postoperative recovery. This case highlights the importance of meticulous anesthetic planning, including seizure control and ICP management, to optimize outcomes in patients undergoing surgery for oligodendrogliomas.
Keywords: oligodendroglioma, brain tumor, seizures, intracranial pressure, neuroanesthesia, thiopentone sodium, dexmedetomidine, cerebral perfusion, refractory seizures, neurosurgery
Edition: Volume 14 Issue 3, March 2025,
Pages: 1064 - 1065